DR. DEBORA KOGAN-LIBERMAN MD NPI 1972544054

NPI Information

NPI: 1972544054
Provider Name: DR. DEBORA KOGAN-LIBERMAN, MD
Classification: Pediatrics - 2080P0206X
Specialization: Pediatric Gastroenterology
Entity Type: Individual
PECOS Registration: Yes
Address: 3415 BAINBRIDGE AVE FL 4
BRONX, NY
ZIP 10467
Phone: (718) 741-2332

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NPI Details

DR. Debora Kogan-liberman, MD is a pediatric gastroenterology pediatrics in Bronx, NY. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Debora Kogan-liberman, MD NPI is 1972544054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3415 BAINBRIDGE AVE FL 4
BRONX, NY
ZIP 10467-403
Phone: (718) 741-2332
Fax: (718) 515-5426

The NPI 1972544054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0206X	Pediatrics	Pediatric Gastroenterology	25MA06234800	NEW JERSEY	Yes
2	2080P0206X	Pediatrics	Pediatric Gastroenterology	003487-1	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03190732	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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